Abstract: An expandable intervertebral implant includes a bone graft implant dimensioned for insertion within an intervertebral space defined between adjacent vertebrae, able to vertically elevate and expand a plurality of ribs into the surrounding bone. The expandable intervertebral implant has a tubular outer body portion having a cylindrical axial bore with a triangular or elliptical cross-section and a plurality of ribs disposed on its outer body dimensioned to fit snugly within the space and an expansion cylinder with a triangular or elliptical cross-section slidably mounted within the axial bore of the tubular outer body. The tubular outer body portion of the expandable intervertebral implant permits the expansion and retraction of the ribs into or out of the surrounding bone as the expansion cylinder rotates.

Abstract: An anterior cervical plating system is disclosed that includes an anterior cervical plate with a locking mechanism feature, bone screws, and a locking element. The bone screws fasten the anterior cervical plate to the spinal vertebrae and locking elements are inserted into a housing to prevent withdrawal of the bone screws from the vertebrae. The anterior cervical plate has at least one pair of adjacent bone screw holes, with the housing mounted perpendicularly between adjacent bone screw holes. When the bone screws are fully inserted into the vertebrae through the anterior cervical plate, the locking element prevents the retraction of the bone screws from the vertebrae. The elastically-deformable locking element holds the bone screws inside the screw holes.

Abstract: A prosthetic disc for the replacement of a defective intervertebral disc comprising a lower component member and a upper component member, each component member having three distinct complementary bearing surfaces which allow anterior-posterior (bending forward/backward), medial-lateral (bending side-to-side), and twisting motions approximating the natural movement of a spinal joint. The lower component member has three adjacent bearing surfaces which are each longitudinally and medial-laterally convex. The upper component member has three substantially complementary longitudinally and medial-laterally concave bearing surfaces. When the prosthesis is disposed between adjacent vertebrae, it provides medial-lateral support while allowing anterior-posterior, medial-lateral and twisting motions approximating the natural movement of the spine.

Abstract: An expandable intervertebral prosthesis includes a bone graft implant member dimensioned for insertion within an intervertebral space defined between adjacent vertebrae, thereafter adapted to vertically elevate and expand a plurality of barbs into the surrounding bone. The expandable intervertebral prosthesis has a tubular outer body portion having an axial bore with an enlarged proximal end and an exterior surface dimensioned to fit snugly within the space, and a barbed expansion cylinder slidably or rotatably mounted within the axial bore. The tubular outer body portion of the expandable intervertebral prosthesis has a plurality of longitudinal slots or holes in the wall thereof to allow the expansion and retraction of the expansion cylinder's barbs into or out of the surrounding bone.

Abstract: An expandable bone fastener adapted to be inserted into an untapped hole drilled in a bone, thereafter adapted to expand a plurality of barbs into the surrounding bone has an enlarged proximal end, a tubular outer body portion having an axial bore, a distal end having either expandable or non-expandable legs dimensioned to fit snugly within the hole, and an expansion pin slidably mounted within the axial bore. The tubular outer body portion of the expandable bone fastener has a plurality of longitudinal slots in the wall thereof to allow the expansion and retraction of the expansion pin's barbs into or out of the surrounding bone. The barbs on the expansion pin may be elastically deformed from a normal, retracted configuration to a locking, splayed configuration wherein the outer ends of the barbs extend outwardly through the slots in the tubular outer body portion to penetrate the surrounding bone as the expansion pin is moved in a proximal direction from a fully extended position.

Abstract: An expandable intervertebral prosthesis includes a bone graft implant member dimensioned for insertion within an intervertebral space defined between adjacent vertebrae, thereafter adapted to vertically elevate and expand a plurality of barbs into the surrounding bone. The expandable intervertebral prosthesis has a tubular outer body portion having an axial bore with an enlarged proximal end and an exterior surface dimensioned to fit snugly within the space, and a barbed expansion cylinder slidably or rotatably mounted within the axial bore. The tubular outer body portion of the expandable intervertebral prosthesis has a plurality of longitudinal slots or holes in the wall thereof to allow the expansion and retraction of the expansion cylinder's barbs into or out of the surrounding bone.

Abstract: An expandable bone fastener adapted to be inserted into an untapped hole drilled in a bone, thereafter adapted to expand a plurality of barbs into the surrounding bone has an enlarged proximal end, a tubular outer body portion having an axial bore, a distal end having either expandable or non-expandable legs dimensioned to fit snugly within the hole, and an expansion pin slidably mounted within the axial bore. The tubular outer body portion of the expandable bone fastener has a plurality of longitudinal slots in the wall thereof to allow the expansion and retraction of the expansion pin's barbs into or out of the surrounding bone. The barbs on the expansion pin may be elastically deformed from a normal, retracted configuration to a locking, splayed configuration wherein the outer ends of the barbs extend outwardly through the slots in the tubular outer body portion to penetrate the surrounding bone as the expansion pin is moved in a proximal direction from a fully extended position.

Abstract: Bone fasteners consisting of a rivet and an expansion pin for attaching soft tissue and bone plates to bone. The rivet has an enlarged proximal end, a tubular body portion dimensioned to fit snugly within a hole drilled in a bone, and a distal end having expandable legs. The expansion pin is either slidably or rotatably mounted within an axial bore in the rivet. In a first embodiment, the expansion pin has a metallic traction portion and a conical, preferably bioabsorbable, distal end portion releasably affixed thereto. In use, the rivet is inserted into a pre-drilled hole in a bone. When tension is applied to the traction portion of the expansion pin, the conical end portion progressively advances into the bore thereby forcing the legs on the distal end of the rivet to expand outwardly. When the legs are fully expanded, further progress of the conical portion is arrested by a shoulder stop within the axial bore.

Abstract: Substrates such as soft tissue bone plates are secured to a bone with a reabsorbable or metallic split rivet bone fastener. The split rivet bone fastener consists of two rotatably connected elongate pins: a pivoting pin and a locking pin, rotatably connected to one another by a transverse pivot pin. Each elongate pin comprises a proximal head portion, a distal leg portion and a body portion therebetween. The pivoting pin and the locking pin each have a transverse cylindrical cavity in the body portion thereof which houses the pivot pin. The pivoting pin and the locking pin each have a semicylindrical groove extending from the head portion thereof to the transverse cylindrical cavity which grooves form a cylindrical lumen when juxtaposed. In a preferred embodiment, a substrate fastener such as a suture is affixed to the pivot pin with the two opposing ends of the suture extending proximally through the cylindrical lumen to project outwardly from the head of the fastener.

Abstract: Bone fasteners consisting of a rivet and an expansion pin for attaching soft tissue and bone plates to bone. The rivet has an enlarged proximal end, a tubular body portion dimensioned to fit snugly within a hole drilled in a bone, and a distal end having expandable legs. The expansion pin is either slidably or rotatably mounted within an axial bore in the rivet. In a first embodiment, the expansion pin has a metallic traction portion and a conical, preferably bioabsorbable, distal end portion releasably affixed thereto. In use, the rivet is inserted into a pre-drilled hole in a bone. When tension is applied to the traction portion of the expansion pin, the conical end portion progressively advances into the bore thereby forcing the legs on the distal end of the rivet to expand outwardly. When the legs are fully expanded, further progress of the conical portion is arrested by a shoulder stop within the axial bore.

Abstract: A fixation pin adapted for use with a frame assembly for the external fixation of a bone. The fixation pin includes a metallic pin having a bioabsorbable threaded tip attached thereto. The metallic pin is a shaft having a proximal end and a shaped distal end. The bioabsorbable tip is a cylindrical unitary body having a distal end, a proximal end and a threaded outer surface therebetween. The proximal end of the tip is affixed to the shaped distal end of the metallic pin. To implant the fixation pin, a hole is drilled and tapped in a first or second bone segment comprising a fracture site. The bioabsorbable tip of the fixation pin is inserted into the hole and the fixation pin is rotated until the threaded outer surface of the tip is embedded within the bone. The proximal end of the metallic pin, projecting outwardly from the skin, is attached to a rigid frame by a clamp.

Abstract: Substrates such as soft tissue bone plates are secured to a bone with a reabsorbable or metallic split rivet bone fastener. The split rivet bone fastener consists of two rotatably connected elongate pins: a pivoting pin and a locking pin, rotatably connected to one another by a transverse pivot pin. Each elongate pin comprises a proximal head portion, a distal leg portion and a body portion therebetween. The pivoting pin and the locking pin each have a transverse cylindrical cavity in the body portion thereof which houses the pivot pin. The pivoting pin and the locking pin each have a semicylindrical groove extending from the head portion thereof to the transverse cylindrical cavity which grooves form a cylindrical lumen when juxtaposed. In a preferred embodiment, a substrate fastener such as a suture is affixed to the pivot pin with the two opposing ends of the suture extending proximally through the cylindrical lumen to project outwardly from the head of the fastener.

Abstract: A fixation pin adapted for use with a frame assembly for the external fixation of a bone. The fixation pin includes a metallic pin having a bioabsorbable threaded tip attached thereto. The metallic pin is a shaft having a proximal end and a shaped distal end. The bioabsorbable tip is a cylindrical unitary body having a distal end, a proximal end and a threaded outer surface therebetween. The proximal end of the tip is affixed to the shaped distal end of the metallic pin. To implant the fixation pin, a hole is drilled and tapped in a first or second bone segment comprising a fracture site. The bioabsorbable tip of the fixation pin is inserted into the hole and the fixation pin is rotated until the threaded outer surface of the tip is embedded within the bone. The proximal end of the metallic pin, projecting outwardly from the skin, is attached to a rigid frame by a clamp.

Abstract: Bone fasteners consisting of a rivet and an expansion pin for attaching soft tissue and bone plates to bone. The rivet has an enlarged proximal end, a tubular body portion dimensioned to fit snugly within a hole drilled in a bone, and a distal end having expandable legs. The expansion pin is either slidably or rotatably mounted within an axial bore in the rivet. In a first embodiment, the expansion pin has a metallic traction portion and a conical, preferably bioabsorbable, distal end portion releasably affixed thereto. In use, the rivet is inserted into a pre-drilled hole in a bone. When tension is applied to the traction portion of the expansion pin, the conical end portion progressively advances into the bore thereby forcing the legs on the distal end of the rivet to expand outwardly. When the legs are fully expanded, further progress of the conical portion is arrested by a shoulder stop within the axial bore.